TY - JOUR AU - M. Bandari AU - C. Osei AU - M. Bandari A1 - AB - Building on Seddio et al.'s study of ADHD symptoms, anxiety, and internalizing behaviors among college students during COVID-19, we identify key methodological limitations and propose refinements. The study's cross-sectional design, small sample size (n=200) from a single northeastern institution, high ADHD prevalence (35%), gender imbalance (82.1% female), reliance on self-report measures, and lack of ADHD subtype differentiation limit its generalizability and clinical applicability. We recommend standardized mental health screenings for internalizing behaviors, integrated care pathways within student health services, and faculty training to recognize subtle signs of distress. Future research should adopt longitudinal designs with multi-institutional cohorts, control groups, and diverse demographics to better understand comorbid ADHD and anxiety during acute stress. These improvements would strengthen the evidence base for supporting collegiate mental health. AD - Department of Medicine, Rowan University School of Osteopathic Medicine, Stratford, New Jersey, USA.; George Washington University School of Medicine & Health Sciences, Washington, DC, USA.; Department of Medicine, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA. AN - 40633015 BT - J Am Coll Health C5 - Healthcare Disparities DA - Jul 9 DO - 10.1080/07448481.2025.2468836 DP - NLM ET - 20250709 JF - J Am Coll Health LA - eng N2 - Building on Seddio et al.'s study of ADHD symptoms, anxiety, and internalizing behaviors among college students during COVID-19, we identify key methodological limitations and propose refinements. The study's cross-sectional design, small sample size (n=200) from a single northeastern institution, high ADHD prevalence (35%), gender imbalance (82.1% female), reliance on self-report measures, and lack of ADHD subtype differentiation limit its generalizability and clinical applicability. We recommend standardized mental health screenings for internalizing behaviors, integrated care pathways within student health services, and faculty training to recognize subtle signs of distress. Future research should adopt longitudinal designs with multi-institutional cohorts, control groups, and diverse demographics to better understand comorbid ADHD and anxiety during acute stress. These improvements would strengthen the evidence base for supporting collegiate mental health. PY - 2025 SN - 0744-8481 SP - 1 EP - 2+ ST - Silent struggles: ADHD and anxiety during campus isolation T1 - Silent struggles: ADHD and anxiety during campus isolation T2 - J Am Coll Health TI - Silent struggles: ADHD and anxiety during campus isolation U1 - Healthcare Disparities U3 - 10.1080/07448481.2025.2468836 VO - 0744-8481 Y1 - 2025 ER -